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NCT06749444: COSTS

Cognitive Behavioral Therapy for Sleep and Circadian Disturbances (CBT-I) in Treatment-Resistant Schizophrenia

Recruiting now NA Last updated 20 January 2026
What this trial tests

NA trial testing CBT-I in Treatment-refractory Schizophrenia in 60 participants. Currently enrolling.

Timeline
28 November 2024
Primary endpoint
30 June 2026
30 April 2027

Quick facts

Lead sponsorJimmi Nielsen
PhaseNA
StatusRecruiting now
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment60
Start date28 November 2024
Primary completion30 June 2026
Estimated completion30 April 2027
Sites1 location across Denmark

Drugs / interventions tested

Conditions studied

Sponsor

Jimmi Nielsen

Who can join

Adults 18 to 64, any sex, with Treatment-refractory Schizophrenia or Treatment-resistant Schizophrenia. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Using a randomized controlled design, the project aims to test if cognitive behavioral therapy interventions specifically targeting sleep disorders can significantly lessen the burden of the disrupted sleep in patients with treatment resistant schizophrenia (TRS) and by proxy lead to a reduction in psychotic symptoms and improvement in quality of life. We are including treatment-resistant patients with schizophrenia other nonorganic and chronic psychoses and in addition meeting the criteria of a sleep or circadian disorder. Included patients will be block randomized to either 8-10 sessions of CBT-I (active treatment) with a specific focus on sleep or 8-10 sessions of regularCBT with a specific focus on patients' psychopathology (treatment as usual) approx.1 session/week. After 12 weeks the full battery of assessments will be repeated forboth groups. Primary analyses will be to identify group-difference in changes using repeated measure ANOVA.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Cognitive behavioral therapy for insomnia vs. standard cognitive behavioral therapy for sleep and circadian disturbances in treatment-resistant schizophrenia: study protocol for the randomized controlled trial (COSTS).
    Johansen JF, Nielsen MØ, Kragh M, Nielsen J. · · 2026 · PMID 41998739 · DOI 10.1186/s13063-026-09482-0

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